Fairgood, Orlesha Diane
Fairgood, Orlesha Diane is an individual health care provider with primary practice located at 2501 Capehart Rd , Offutt Afb NE 68113-1043. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Fairgood, Orlesha Diane can be contacted via phone (402) 294-3206.Contact Information
Primary practice address
2501 Capehart Rd
Offutt Afb NE 68113-1043
Phone: (402) 294-3206
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 1862 | Nebraska |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 2257 | Nebraska |
Profile Details
NPI number | 1689327082 |
---|---|
LBN Legal business name | Fairgood, Orlesha Diane |
Credentials | LICSW |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 27th, 2022 |
Last updated | Jun 15th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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